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전양현,김태석 대한치과의사협회 2024 대한치과의사협회지 Vol.62 No.3
Elderly care faciliities and welfare services are becoming more important as the aging tendancy accelarates and the proportion of the elderly population increases. However, in long-term care ratings for elderly care services, evaluation criteria for oral health or oral hygiene managing ability are insufficient. In this study, we surveyed the teeth condition of the elderly in long-term care facilities located in Korea, and compared with the results of KNHANES. Correlation analysis was performed between collected data about teeth condition and other factors of patients including other oral hygiene conditions, information about long-term care, and systemic diseases. The above can be summarized as results and proposals as follows. 1. Teeth conditions including natural teeth of elderly in long-term care facilities are worse than general people. The elderly in long-term care facilities were proven to have less natural teeth, less percentage of natural teeth more than 20, and be more edentulous than general people. 2. Three indices about natural teeth also had correlation with periodontal condition, xerostomia, and temporomandibular disorders. Also, number of prosthesis and dental caries had correlation with each other, and had relation with salivary function. 3. Since maintaining the natural teeth is nationally considered as infortant factors to maintain the quality of life, management of natural teeth, and eventually, general oral health should be performed necessarily in the elderly of long-term care facilities.
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흉부후전면 촬영상 전접합선이 전이되어 기흉으로 오인된 1예와 기종격증으로 오인된 1예 보고
전양현 대한영상의학회 1998 대한영상의학회지 Vol.38 No.2
전접합선은 흉부단순촬영 전면상 흉골의 상부 1/3의 우측 상부에서 좌측 하부까지 이루는 선상 음영으로 나타나는데 이는 양측 폐의 장측, 벽측 흉막과 소량의 종격동 지방으로 형성된다. 흉부단순촐영상 폐용적 감소나 증가를 보이는 환자에서 전법합선이 이동되어 기흉이나 기종격증으로 오인할 수 있다. 이러한 경우 측면사진상 전접합선의 이동을 동반한 전측 폐의 환측 폐로의 허탈에 의한 흉골 후방 공간의 확장과 과투시성으로 기흉이나 기종격증과 감별하는데 도움을 얻을수 있다. On PA chest radiography, the anterior junction line(AJL) is seen to project from the upper right to the lowerleft of the upper third of the body of the sternum and represents the visceral and parietal pleura of each lungand a small quantity of mediastinal fat. In a patient with volume loss or expansion of a hemithorax, the AJL showsconsiderable shift and on PA chest radiography may mimic pneumothorax or pneumomediastimum. In such cases,widening and hyperlucency of the retrosternal space, seen on lateral view, which represents herniated lung with ashift of AJL, may be helpful for differentiation from pneumothorax or pneumomediastinum.
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전신질환으로 입원한 환자의 구강질환과 전신질환의 상관관계(I)
전양현,어규식,홍정표,Chun, Yang-Hyun,Auh, Q-Schick,Hong, Jung-Pyo 대한안면통증구강내과학회 2008 Journal of Oral Medicine and Pain Vol.33 No.2
Purpose : To investigate the actual conditions of diagnosis and treatment of oral disease of inpatient with systemic disease. Methods : A total of 110 subjects, inpatient due to systemic disease for diagnosis and treatment of oral disease was requested to answer the medical history and dental treatment record. Results : In the main systemic disease, Endocrine, nutritional and metabolic diseases is composed of Gingivitis and periodontal diseases 44.9%, Diseases of salivary glands 22.4%, Within Normal Limit, Dental caries 12.2%, Diseases of pulp and periapical tissues 4.1%, Embedded and impacted teeth, Other diseases of hard tissues of teeth 2%. In the main oral disease, Gingivitis and periodontal diseases is composed of Non-insulin-dependent diabetes mellitus 39.2%, Cerebral infarction 29.4%, Nerve root and plexus disorders 5.6%, Intracerebral hemorrhage 3.9%, Malignant neoplasm of stomach, Thyrotoxicosis, Schizophrenia, Alcoholic liver disease, Nephrotic syndrome 2%. Conclusion : These findings indicate that inpatient due to the systemic disease is significantly correlated to the oral disease. The patients of oral disease interrelationship between inpatient and outpatient of systemic disease should be validated by future research.
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전양현,박지운,김태석 대한치과의사협회 2023 대한치과의사협회지 Vol.61 No.11
The ability and quality of dentists are necessary in order to expand the role of dentists in elderly care facilities, and their confirmation is also essential. To confirm this, we approached, compared and analyzed through 3 dimensional solid analysis. Standard competency, education contents, accreditation evaluation and competency certification were confirmed through horizontal studies, while education on systemic diseases, inpatient and emergency measures related to elderly care facilities were confirmed through vertical studies, and mutual comparison with respect to the education contents and accreditation evaluation of medical school and oriental medical school were confirmed through sectional studies. Besides, the training and education of dentist specialists and senior oral care specialists were confirmed, and a model of dental clinics for inpatients in medical hospital was also analyzed. The above can be summarized as political proposals as follows. 1. Collectively considering dentists’ basic education including standard competency, education contents, accreditation evaluation, and competency certification and detail education including systemic diseases, inpatients, and emergency measures, it is suggested that dentists are also capable of fulfilling their role and are essential in elderly care facilities. 2. Additionally, considering some training courses for dentistry specialists and training courses for nurturing senior oral health care professionals, it is suggested that there is sufficient potential and urgent need for a more specialized role for dentists in elderly care facilities. 3. Considering the models of Kyung Hee Medical Center and Seoul National University Hospital specifically, where dentists treat patients hospitalized for systemic diseases, it is suggested that systematic and rational expansion of the role of dentists in elderly care facilities is highly anticipated and gravely needed.
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전양현(Yang-Hyun Chun) 대한치과의사협회 2011 대한치과의사협회지 Vol.49 No.6
Clinically treatment goal of neuropathic pain focused on not elimination of etiology but management and control symptoms because we don’t know certain about clear etiology of neuropathic pain yet. The drugs used for the management of neuropathic pain were classified as drugs with strong evidence for benefit(antidepressant, anticonvulsants, opioid analgesics etc.), modest evidence for benefit(mexiletine, carbamazepine, clonidine etc.), preliminary evidence for benefit(NSAIDs, dextromethorphan, topiramate etc). Finally, the treatment for trigeminal neuralgia was outlined separately since this disorder responds to a different group of drugs than other neuropathic pain conditions.
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